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EP3635588A4 - Medical coding quality control - Google Patents

Medical coding quality control Download PDF

Info

Publication number
EP3635588A4
EP3635588A4 EP18814185.7A EP18814185A EP3635588A4 EP 3635588 A4 EP3635588 A4 EP 3635588A4 EP 18814185 A EP18814185 A EP 18814185A EP 3635588 A4 EP3635588 A4 EP 3635588A4
Authority
EP
European Patent Office
Prior art keywords
quality control
coding quality
medical coding
medical
control
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP18814185.7A
Other languages
German (de)
French (fr)
Other versions
EP3635588A1 (en
Inventor
Gary M. JEPPSON
Scott F. CASS
David T. DUNDON
Myung H. Kim
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Solventum Intellectual Properties Co
Original Assignee
3M Innovative Properties Co
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 3M Innovative Properties Co filed Critical 3M Innovative Properties Co
Publication of EP3635588A1 publication Critical patent/EP3635588A1/en
Publication of EP3635588A4 publication Critical patent/EP3635588A4/en
Withdrawn legal-status Critical Current

Links

Classifications

    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/06—Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
    • G06Q10/063—Operations research, analysis or management
    • G06Q10/0639—Performance analysis of employees; Performance analysis of enterprise or organisation operations
    • G06Q10/06395—Quality analysis or management
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/06—Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
    • G06Q10/063—Operations research, analysis or management
    • G06Q10/0639—Performance analysis of employees; Performance analysis of enterprise or organisation operations
    • G06Q10/06398—Performance of employee with respect to a job function
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H15/00—ICT specially adapted for medical reports, e.g. generation or transmission thereof
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H70/00—ICT specially adapted for the handling or processing of medical references
    • G16H70/20—ICT specially adapted for the handling or processing of medical references relating to practices or guidelines

Landscapes

  • Business, Economics & Management (AREA)
  • Engineering & Computer Science (AREA)
  • Human Resources & Organizations (AREA)
  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Public Health (AREA)
  • General Business, Economics & Management (AREA)
  • Development Economics (AREA)
  • Entrepreneurship & Innovation (AREA)
  • Strategic Management (AREA)
  • Educational Administration (AREA)
  • Economics (AREA)
  • Operations Research (AREA)
  • Game Theory and Decision Science (AREA)
  • Biomedical Technology (AREA)
  • Marketing (AREA)
  • Quality & Reliability (AREA)
  • Tourism & Hospitality (AREA)
  • Physics & Mathematics (AREA)
  • General Physics & Mathematics (AREA)
  • Theoretical Computer Science (AREA)
  • Bioethics (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Medical Treatment And Welfare Office Work (AREA)
EP18814185.7A 2017-06-07 2018-06-01 Medical coding quality control Withdrawn EP3635588A4 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201762516319P 2017-06-07 2017-06-07
PCT/IB2018/053957 WO2018224937A1 (en) 2017-06-07 2018-06-01 Medical coding quality control

Publications (2)

Publication Number Publication Date
EP3635588A1 EP3635588A1 (en) 2020-04-15
EP3635588A4 true EP3635588A4 (en) 2021-03-03

Family

ID=64566599

Family Applications (1)

Application Number Title Priority Date Filing Date
EP18814185.7A Withdrawn EP3635588A4 (en) 2017-06-07 2018-06-01 Medical coding quality control

Country Status (3)

Country Link
US (1) US20200185069A1 (en)
EP (1) EP3635588A4 (en)
WO (1) WO2018224937A1 (en)

Families Citing this family (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11461848B1 (en) 2015-01-14 2022-10-04 Alchemy Logic Systems, Inc. Methods of obtaining high accuracy impairment ratings and to assist data integrity in the impairment rating process
US11853973B1 (en) 2016-07-26 2023-12-26 Alchemy Logic Systems, Inc. Method of and system for executing an impairment repair process
US11854700B1 (en) 2016-12-06 2023-12-26 Alchemy Logic Systems, Inc. Method of and system for determining a highly accurate and objective maximum medical improvement status and dating assignment
WO2018160350A1 (en) 2017-02-28 2018-09-07 3M Innovative Properties Company Polyurethane adhesive with chemical resistant
US12165209B1 (en) 2017-09-19 2024-12-10 Alchemy Logic Systems Inc. Method of and system for providing a confidence measurement in the impairment rating process
US12183466B1 (en) * 2018-03-12 2024-12-31 Alchemy Logic Systems Inc. Method of and system for impairment rating repair for the managed impairment repair process
US11625687B1 (en) 2018-10-16 2023-04-11 Alchemy Logic Systems Inc. Method of and system for parity repair for functional limitation determination and injury profile reports in worker's compensation cases
CA3118825A1 (en) * 2018-11-14 2020-05-22 3M Innovative Properties Company Systems and methods for auto-validation of medical codes
WO2020142558A1 (en) * 2018-12-31 2020-07-09 Tempus Labs Automated quality assurance testing of structured clinical data
JP7618584B2 (en) 2019-05-10 2025-01-21 スリーエム イノベイティブ プロパティズ カンパニー Optically clear, oil-resistant adhesive
US11848109B1 (en) 2019-07-29 2023-12-19 Alchemy Logic Systems, Inc. System and method of determining financial loss for worker's compensation injury claims
CN114386927B (en) * 2021-12-08 2024-11-22 众阳健康科技集团有限公司 A method, system, storage medium and device for automatically correcting diagnostic coding

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20090222287A1 (en) * 2008-02-29 2009-09-03 Ims Software Services, Ltd. Apparatus and method for self-reporting medical information
US20100036680A1 (en) * 2006-12-20 2010-02-11 Artificial Medical Intelligence, Inc. Delphi method for medical coding
US20160048643A1 (en) * 2014-08-18 2016-02-18 Nuance Communications, Inc. Method for rating medical coding performance

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6714925B1 (en) * 1999-05-01 2004-03-30 Barnhill Technologies, Llc System for identifying patterns in biological data using a distributed network

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100036680A1 (en) * 2006-12-20 2010-02-11 Artificial Medical Intelligence, Inc. Delphi method for medical coding
US20090222287A1 (en) * 2008-02-29 2009-09-03 Ims Software Services, Ltd. Apparatus and method for self-reporting medical information
US20160048643A1 (en) * 2014-08-18 2016-02-18 Nuance Communications, Inc. Method for rating medical coding performance

Non-Patent Citations (4)

* Cited by examiner, † Cited by third party
Title
AHIMA: "Benchmarking Coding Quality. Audio Seminar/Webinar", INTERNET CITATION, 24 July 2008 (2008-07-24), pages 1 - 44, XP009517727, Retrieved from the Internet <URL:https://campus.ahima.org/audio/2008/RB072408.pdf> [retrieved on 20191213] *
CATHERINE L. SNOW ET AL: "Accuracy of Coding in the Hospital-Acquired Conditions-Present on Admission Program (final report)", CENTERS FOR MEDICARE & MEDICAID SERVICES, 30 June 2012 (2012-06-30), Baltimore, MD United States, pages 1 - 70, XP055553379, Retrieved from the Internet <URL:https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Downloads/Accuracy-of-coding-Final-Report.pdf> [retrieved on 20190207] *
See also references of WO2018224937A1 *
V.S BINU ET AL: "Some basic aspects of statistical methods and sample size determination in health science research", AYU, 1 March 2014 (2014-03-01), pages 119 - 123, XP055553463, Retrieved from the Internet <URL:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4279315/> [retrieved on 20190207] *

Also Published As

Publication number Publication date
WO2018224937A1 (en) 2018-12-13
US20200185069A1 (en) 2020-06-11
EP3635588A1 (en) 2020-04-15

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